Enigma Holby City

I wanted to make sure you're feeling OK about being back.

Absolutely. 100%.

I came back to see if I could be a nurse again.

The ultimate test. I've failed.

You haven't failed until you stop trying.

Someone might have had an interview for a London rotation,

and they might have loved someone.

Your NHS is no longer the envy of the world.

I have no idea who was in this bed last.

So, how have you been since the procedure?

A bit of dizziness and palpitations, but that's all part of it, right?

As a mum, if you were where I am now,

would you have the kid this early?

-Yeah, I would.

-I'll do it.

MACHINE FLATLINES

When Sacha was at uni, he used to deliver singing telegrams.

-THEY LAUGH

-I told you that in confidence.

-You stripped?!

-No stripping! No!

No, this was character work.

And his specialty was Elvis, am I right?

You are savagely cruel, but you're very correct. Yes, it was.

Young Elvis.

US-Army era, Blue Hawaii. Clean-cut.

Absolute dreamboat.

-THEY LAUGH

-A-huh!

So, you see, everyone has got a shameful past.

Same again, everyone?

Didn't he just get the last round in?

Yeah, I think he did.

That's very generous of him.

I used to work with him in the ED, and he is.

-He is a lovely bloke.

-Hear, hear.

We've got no idea what's wrong with him. Shh!

-Is that right?

-Yeah. Mr Farquarson.

Can you believe that name, Farquarson?

It is fun to say, though. Try it. Say it.

-Farquar...

-Yeah, anyway,

so we thought he had a normal heart attack, but he didn't,

and so, now, if we can't find out what's wrong with him, he'll die.

-Well, they know their stuff on Darwin.

-Mmm.

Are you all right getting home?

Why? Do you want to take me?

I mean...do you want me to book you a cab?

Oh.

Yeah.

-Come on, then.

-Someone's pulled!

Night, guys.

Well...

THEY GIGGLE

Who's going to get the next round in?

ESSIE SIGHS

I'm never drinking again.

Where have I heard that before?

I mean it this time. It's just not worth it.

Until someone offers you a large Pinot Grigio.

You had a good time, though?

Yeah. Yeah, I did.

Well, that's good, isn't it?

Yeah. Yeah, it is.

Thank you for looking out for me.

Morning! How are we all?

Here we go, then.

How come you're not hungover?

I guess I dodged this one.

SACHA GROANS

-Are you sure?

-Sure.

-Dominic about?

-Locker room.

Yes. He's got your hangover, as well.

Poor guy.

-BANG!

-How hard is it to close a door?

Sorry.

Should really be a hydraulic closer on a door like this.

BANG!

I swear, if you do that one more time...

Sorry. Yeah, but we can't have it banging like that, can we?

Is that all you came in here for?

Take this. I swear by it. For the hangover.

No, thanks, I'll pass on the nine teaspoons of sugar.

-It really helps.

-DOM SIGHS

You're trying a bit hard, aren't you?

-What?

-Did you get one of those for Sacha and Essie, as well?

-Yes.

Yeah. OK, well, look, little pro tip,

there's a really fine line between being helpful

and being a brown-nose.

Now that you're out of the box, we need to keep you warm.

-Hey.

-Hi.

Is Grandad coming to get her soon?

Yeah. Yeah. Social Services are just doing the checks now.

-Have you been here long?

-Hour or so.

Don't you think you ought to get yourself upstairs?

Well, you know, ship without a captain and all that.

It'll be like the Wild West up there, won't it?

Yeah, I'll go in a minute.

Hey, um...do you fancy a dinner date tonight? With me, obviously!

We eat dinner every night.

Mo, we could... We could just BE together.

You know, talk about things other than work and Hector and...

Yeah, I don't think I've got the energy for that tonight.

Fair enough.

One day, though.

One day.

-Ah!

-OK, OK, I'm late, I have an awful hangover,

I'm a terrible person, I get it.

Where have you been? I've been calling you.

I've lost my phone, like an idiot.

-Well, that's probably not the worst thing.

-Why?

-I woke up to a delightful voicemail from you this morning.

-Oh, no!

Congratulations on the job, by the way.

-I told you about that?

-At quite considerable length.

I was going to tell you properly.

What could possible be more on-brand for you than a drunken voicemail?

-I'd love to hear the others.

-What others?

Hm? Oh! You told me at the end of the call

that you had other calls to make.

Oh! Did I say who?

Oh, this can't be how I told Morven about my new job!

I don't know and I don't care.

Just get changed and let's do some work, shall we?

-Yes, yes.

-Thank you, Dr Burrows.

-Good morning, devoted colleagues. Is she in?

-No, not yet.

Well, heads down, she's going to be an absolute nightmare.

Morning! Lovely out there.

There you go.

So, is she, like, just a consultant now?

-I guess so.

-Same as us?

-Yep.

-So, who does the morning meeting?

-Do you want to?

-If you don't want to.

-Knock yourself out.

-What have we got?

-Leonard Dujon.

Sent up from the ED after collapsing with stomach and back pain.

Great.

Hi, Leonard, I'm Mr Levy.

-Hi.

-Hi. So, how are you feeling right now?

Rubbish.

-Pain?

-Yeah.

So, stomach and back. Anywhere else?

Um...there's a bit in my chest.

Right. Can you tell me if, um...?

-Ah! Nurse Chiltern, good of you to join us.

-Ben!

Lenny. What happened? Are you...are you OK?

Not great, if I'm honest.

So, I take it you two know each other?

We used to, yeah.

Shall we press on?

-WHISPERS:

-Yeah.

I was in the middle of exercising

and I felt my heart was...out of control.

-More than just out of breath?

-Much more.

You were previously diagnosed with paroxysmal atrial fibrillation.

-Yes.

-And when were you in for that?

-Last September.

"Yeats". You're the one married to the MP, right?

-Sorry, that's really none of my business.

-No, it's OK. I was.

We're in the process of getting divorced.

-Oh, that's unfortunate.

-No, it's not.

He was a dull man when I married him and he has not improved.

-Are you on amiodarone?

-Yes.

And how does this cardiac episode compare to the last one?

A bit more intense.

It says here the paramedics gave you 50 milligrams of lidocaine.

-Did that calm it down?

-Yes.

Have you been under any stress recently?

Just a bit. I'm running for Parliament.

-Really?

-Against my ex-husband.

That's a big yes for stress.

OK, let's get an echo, ECG, MRI, LFT and U&Es, please. Back in a bit.

-So, would it be your dream job?

-What's that, then?

Being the head of one of the best CT wards in the country.

-I'm not going to get it.

-But it would be one of...?

Absolute dream job, yeah.

I woke up feeling a bit sore, but nothing out of the ordinary.

Are you often in pain?

There's always something at my age, isn't there?

-You're only 33.

-Yeah, well, I've packed a lot in, though, my friend.

So I, er...I took a couple of painkillers, pressed on.

And that's when it hit me. Getting out of the van, my legs went.

Tools everywhere.

Someone called the ambulance and here I am.

OK.

FBC, U&Es, blood cultures, CRP?

And an ECG to see if we can find out where this chest pain's coming from.

-Got it.

-So, how do you two know each other, again?

Family friends.

You not seen each other for a while?

A while, yeah. Um...how long do you think?

Probably nearly a year, since just before I went away, I reckon.

Yeah. About that.

Great. Well, we'll let you catch up, then.

-Family friends?

-What do you want me to say?

You're no friend of my family, mate.

I'll check on your results.

My apologies for pulling you away from your patients.

Nah, I'm sick of them, anyway.

-Joke.

-Very droll.

As you're no doubt aware,

the position of Holby's Director of CT has become available.

-I am aware.

-And I was hoping you might step in.

-I beg your pardon?

-In an acting capacity to begin with,

but I am asking if you would like to be Holby's Director of CT.

-I'm aware there's more responsibility...

-I'll do it!

Very good. I'll ask HR to draw up the relevant paperwork.

Double the wage.

Er...kidding.

"Family friend"!

Me and my mates used to call someone that if we didn't really like them.

You know, "How do you know him?" "Oh, he's a family friend."

Meaning I only spoke to him because Mum said I have to.

I used to go out with his sister.

-Oh. Right.

-I don't know him that well, though.

OK, then. Well, he's got a history of drug use.

So?

So we're looking at a greater risk of chest infection,

possible Hep C, TB, even HIV, so...

-I'm saying, just be extra careful.

-He's clean now.

Yeah, well, they say that, but, then, you know,

-who knows what the truth is?

-The truth is he's clean.

-You sound very sure.

-I am.

OK. Well, I thought you didn't know him that well.

Well, I...I just know.

OK, then.

-Oh-ho-ho! Wow!

-I know, right?

Ha! And how did Jac take it?

-She doesn't know yet.

-No?

-Yeah. That's going to be fun(!)

Oh, gosh. Well, I'm sure you will handle it superbly.

It'll be a bit of extra work, this gig,

so I'm going to need you to cover me with Hector.

OK.

-What?

-No, nothing. I'm sure it'll be fine.

No, it's...

All right, it's just you've got a lot on your mind already,

what with Hector and this thing with Elsie.

What thing? She's going home today, like all patients do.

I've waited my whole career for this gig and I'm not knocking it back

for the sake of a couple of extra hours' kip.

Plus, I've already said yes, so...

Oh, right. Well, fair enough.

Congratulations, then. I'm sure you'll be absolutely brilliant.

-Not bad, huh?

-Hm!

Hm-hm!

Hi!

Hi.

-What?

-Nothing. Unless...

-Unless what?

-Unless there's something...

-What are you even talking about?

-What are you even talking about?

-Shall we go and see our patient?

-Yeah, yeah, yeah.

-Great.

Hello! Um... Thanks, Fletch.

Julian Steinberg.

-Yeah.

-I'm Dr Digby, this is Dr Burrows.

-So, um...I hear you have severe abdominal pain.

-Yep.

-Have you had any vomiting at all?

-A bit.

-Right, and when was the last time?

-Merely moments ago.

-Have you had any accidents, a knock, or anything like that?

-No.

Good. OK, let's get LFTs, U&Es, standard bloods and an ultrasound.

Nil by mouth, and IV fluids, as well.

Um...Julian, do you have anywhere you need to be?

-When, tonight?

-Well, the next couple of days, I'm afraid.

You might be in here for a little while.

-Just a reunion of my uni class.

-Oh, that's a shame.

No, it's not. You have to wear a tie.

-OK.

-It's at some posh private club in town.

It might be a good chance to network.

-Huh!

-What?

Networking is not something I need to do.

I make one call and they'll have me for lunch at Number Ten.

Huh!

-Really?

-When I sell my company, yeah.

When they realise what I'm capable of doing for them.

-And what is that?

-Using data to change the way we look at resources.

Look at this - two doctors and a nurse

to say hello and order some tests.

If you want to clean up your own sick, you knock yourself out, mate.

You two, then. Waste of resources.

They talk to me and I put the doctors where they need to be

to help more patients when they need to be helped.

And save the NHS a packet in the process. Agh!

So, you're not going to your reunion because you think you're above it?

And I don't own a tie.

OK. We will be back in a minute.

I never feel more valued than when I'm called a resource(!)

Have you got a minute?

Sorry, I've got to go to my protected Foundation teaching

session, so see you in a bit.

Does she know yet?

What the hell is this?

I'm down for a decortication?

-Two, actually.

-Is that it?

I know they're boring and easy for you,

but I thought I'd stick you in there with a couple of young 'uns

because I want them to see that the very best surgeons never slack off.

Is this the Effanga management style?

A gentle bit of soft-soaping and everyone falls into line?

Just do 'em, Jac.

They'll take 20 minutes and the kids will think you're a hero.

-Anything I can do to help the team.

-Thank you.

Did you deliberately give her decortications

just because you could?

What do you think?

I have to do an ECG.

Right.

So, if you can take your top off, please?

-Let me give you a hand.

-I can manage.

I'll have to put these on.

Got off lightly in the end, don't you think?

So, where'd you go for your holiday?

Australia.

How was it?

It was great, yeah.

Does my sister know you're back?

-I haven't spoken to her, so...

-So, no.

How is she?

You care now, do you?

I always cared.

You can ask her yourself.

The ED guy rang her, so I guess she's on her way.

Is she...? Is she seeing anyone, or...?

Are we done here?!

I'll be back in a couple of minutes, once the tests have run.

-Can you finish off for me, please?

-Sure.

Mm-hm.

-Sorry.

-It's OK.

Must have been lovely out there this morning.

I beg your pardon?

You said you were exercising when it happened.

Oh, yes.

Where do you live?

Ah! Jogging in the park?

Actually, I was indoors.

On a morning like this?

Well, this particular activity,

it is not very advisable to do it outdoors.

At least, not every day.

Ah! Are you talking about...?

Making love? Yes.

-Who on earth...?

-Mrs Yeats.

-Your ECG and MRI show no signs of myocardial problems.

-Great.

But your echo shows that your left atrium is dilated,

and there's a clot on your left atrial appendage,

which puts you at risk of stroke.

So, what do we do?

We open you up and clear the clot.

It's significant surgery and the recovery's long,

but we believe that's your best chance of success.

-How long is the recovery?

-It varies. Typically five to six weeks.

Five to six weeks?!

What about my campaign?

No. That's what got you in this mess.

And surely you can have a go at the next election, can't you?

Ms Effanga, I'm in my 40s. I have three children.

Opportunities for women like me don't come that often,

so you have to take them when they do.

-Maybe it's different in medicine, but...

-No. No, it's not.

Then you understand.

I do, but I'm not comfortable with the alternatives.

So, there are alternatives?

I'm afraid they're too risky.

But it's my risk.

Look, what's stopping us from just having a conversation about this?

Because it won't change my professional opinion

on how we move forward with this.

OK?

OK.

She just wants to get on the road as soon as possible.

I get that, but she's going to have to trust me.

-You're the boss.

-Don't you forget it.

PHONE CHIMES

Could you...? Thanks.

-U&Es show acute kidney problems.

-CRP?

78. White count 14, haemoglobin 10.5.

Leonard, something isn't right in your abdomen,

so we're going to send you for an abdominal CT.

Nothing to worry about - we just need to see what the scan says.

All right?

So, how long have you known Lofty?

-Who?

-That's my nickname.

-Lofty?

-It's a long story.

So, he tells me he went out with your sister.

-Is that what he said, is it?

-Was he winding me up?

No. No, no, it definitely happened.

Alice adored him.

-I mean, we all did.

-All right.

I mean, who couldn't adore old Lofty?

Yeah. I mean, what a fantastic bloke he is.

I suppose he has his charms, doesn't he?

No, it was more than that.

She was totally in love with him.

I'd never seen anything like it.

It was like she'd found it, you know?

Her whole life, there, waiting for her.

Right up to the minute you left her at the altar, eh, Lofty?

But that would take the shine off any relationship, wouldn't it?

Something with his pancreas, would be my guess.

Do we guess, though, as highly-educated

professional surgeons?

-No.

-Come back to me when you've got some facts, please.

Thank you for your contribution, Dr Burrows.

Um...can I have a quick word?

Do you know what? I reckon you and I should do the garden up this year.

-R-Really?

-Yeah!

A few weekends' work, I reckon we could plant an apple tree.

-An apple tree?

-An apple tree, yeah!

And I think we should go on holiday. Sardinia?

You and me, my sister from another mister!

Right, your tech genius's blood results.

Ah!

Hm! Told you.

Thank you.

What?

MORVEN CHUCKLES

-You're joking?!

-Nope.

-When?

-I don't know. Must have been sometime before he left.

I wasn't expecting that. A secret heartbreaker!

DOM CHUCKLES

You've got to be kidding! It's not even one o'clock.

I know. It's appalling.

-Second bag. Do you want some?

-No.

-So, he does have a dark side, then?

-Yeah, well, I guess so,

if he doesn't want to tell us that he jilted some girl at the altar.

Because it's none of your business.

-You were meant to be on look-out.

-He was behind me!

So I think it was a combination of things, really.

Social Services were a little bit concerned

and Grandad realised that maybe it was more than he was capable of.

-So, that's it?

-Yes.

But, um...the good news is, they've found a foster family.

Lovely people, by all accounts.

-When are they coming to get her?

-This afternoon.

Social Services thought it was best

to get everything in place as soon as possible.

-Are you OK?

-Fine, yeah.

Yeah. It's great being the boss.

Everyone has to do what you say.

I've got Jac on decortications.

Wow!

Can you let me know when they get here? I'd like to say goodbye.

Of course.

CT will be ready for you shortly. How's your pain?

Fantastic(!)

Sorry if I let that out of the bag earlier. Awkward!

It's not a joke. I have to work with these people.

They knew you were engaged, though, didn't they?

No, as it happens.

Oh, my bad, buddy(!) Can't keep me mouth shut.

I just assumed you'd told all your colleagues

that you ran out on your wedding. How you broke her heart.

To this day, she has no idea why.

But you know, though, don't you?

You know why.

Do you want me to tell her that?

Open it.

-What for?

-Just open it!

What did you keep that for?

How could I throw it away?

People go their whole lives and never get a moment like that.

Hundreds of people in that room,

but, as far as I'm concerned, it was just us.

Our hands touched at a gig once, accidently...

..you hang on to that for more than a year?

You're sad, mate.

It wasn't an accident, though, was it?

Do you know something I learned from the Australians?

They don't muck around.

If they want something, they don't let the opportunity pass.

They go after it.

Where is she?

Momentarily unavailable, I'm afraid.

This is what happens when you're the boss.

They tell me you're running for Parliament.

I was, but apparently my surgery has a long recovery.

Yes. Six weeks, usually.

There must be other options.

Has Ms Effanga not run through those with you?

-I didn't want to bother her.

-OK.

We could fix that heart rhythm with keyhole surgery.

Something called a modified maze operation.

A bit more difficult than open surgery,

but you're in one of Europe's best CT wards.

And the recovery wouldn't be very long?

Two weeks, usually. In time for the election.

Can you do it today?

That's something you'd need to talk to Ms Effanga about.

She's the boss.

Of course. Thank you. You've been very helpful.

-FOOTSTEPS APPROACH

-Lenny?!

In here.

They said you collapsed!

-That's right.

-Are you OK?

-Ben.

-Hi, Alice.

You...you look well.

Is that all you can say for yourself?

What a stroke of luck this is.

We're blessed.

Is he all right?

We're just running some tests.

Is that what you're doing now?

No, I was doing his obs. Observations.

Well, thanks for explaining that wild piece of medical jargon(!)

-Are you done?

-I am, yeah.

Then maybe you can give me a minute with my brother.

We'll be back once your results come in.

-It's good to see you, Alice.

-Is it?

Always.

So you have a condition called pancreatitis,

which is an inflammation of the pancreas,

and it's what's causing you pain.

-How did that happen?

-Er...Dr Digby?

Um...you have a genetic disorder

known as familial hypercholesterolemia.

Basically, it's an enzyme problem

that stops you absorbing fat properly.

-How's your diet?

-Not bad.

Actually, pretty bad.

I run a start-up, you know, it's just me.

I don't have time to cook.

Well, all this fat's doing its best to kill you.

OK. How do I fix it?

-Dr Burrows?

-IV fluids, painkillers,

and we will put you on statins to reduce your lipid levels.

And try to stop eating so much rubbish.

You know, um...the Sardinians have an amazing diet.

Loads of fish, fresh fruit and veg, really healthy oils...

I can't go on holiday with you!

-What?

-I can't go to Sardinia, and I can't do the garden.

I don't even like apples.

I...I'm moving to London.

I got a job at St Catherine's and I'm probably going to take it.

-You're leaving?

-Morven.

-Ollie, it's fine. She needs time.

She knows, you idiot.

Come on, you've had your fun.

You left me a really long voicemail last night.

-Shock(!)

-Why didn't you tell me?

Because this was way more entertaining.

Jas, this is an amazing opportunity

and you'd be bonkers not to take it.

It doesn't matter how you told me.

Bop!

-Hi, Leonard.

-Hi.

-Hi.

-Hi.

I'm Mr Levy.

Alice. Sister.

Aw!

Ah! Er...

Welcome.

So...your ECG is clear.

Does that mean I'm OK?

We still don't know where the pain is coming from.

-Um...how's the CT going?

-Just waiting on the results.

Great. OK. Well, while we wait,

is there anything in your history that might be relevant?

-You mean, am I clean?

-Yeah.

-That's what you're getting at.

-Are you?

-Completely.

-Good. How long for?

-How long, Ben?

-About 15 months.

Great. OK. Thank you.

Right, I'll let you know when the CT comes back. All right? OK.

Are you really telling the truth?

Absolutely.

It's different this time.

Of course. I suppose that's something.

Do you, um...do you think you could get us a treat from the shop?

Don't you want something healthier?

Are we going to do this again?

-Where is it?

-By Reception.

What are you doing?

-You think I'm going to lay here while you try it on?

-What?!

You came on to me. I could have your job.

-It didn't feel one way to me.

-Well, it was!

-Just wait.

-I think you should get out of my way.

-You need to relax.

-Mate, I'm going to the khazi, so move.

And what Mr Rossini should have explained

is that whilst the maze procedure is less invasive,

it carries only a 60% chance of success.

Open surgery is closer to 80.

But you're one of the best CT wards in Europe.

-Exactly.

-Yes...

Yes, we are, but there is a very real possibility

that if we do the maze,

you'll be back here with the same problem, maybe worse.

Two weeks' recovery. I could keep campaigning.

You've called me here for my expertise

and I'm sharing it with you.

But if I want the modified maze, you have to respect that, no?

-The patient has a point.

-Are you not listening to me?

Yes, it is your choice,

but with my years of surgical experience,

and as director of this ward, it's not my advice.

Mo? They want you in Neonatal.

Thanks.

I want the maze.

Fine. Have it.

We'll keep you in overnight to keep an eye on you,

but you should be fine tomorrow.

-In case you change your mind about your reunion.

-Unlikely.

You never know.

Hey. Top five for disease-free survival from pancreatic cancer.

-What?

-St Catherine's!

Fletch, have you heard the news?

Jas has got a new job in St Catherine's.

Is that right? Well, congratulations!

-Thank you.

-Yeah, lovely little spot.

A mate of mine worked there, said they were absolutely brilliant.

Got a lovely little cafe, as well.

Heard the good news about Jas's new job?

Yes. We're all very pleased for her.

Can you all just stop being so nice about it?!

You're supposed to be my mates -

you should be angry at me for leaving,

and struggling with the huge sense of loss.

I just feel like you can't wait to see the back of me.

Social Services are just finishing off.

-How long have we got?

-Not long.

-Hi.

-Is it all right if we have a few minutes, please?

-Yes, of course.

-Thank you.

A few minutes, huh?

That's all we need, isn't it, gorgeous?

Look at you, you little chubster.

You've done so well.

I am so proud of you.

I know you haven't had it easy,

and I let you down, and I'm...I'm really sorry.

But, see, now, these lovely people,

they're going to take you to meet your new mummy and daddy.

And they are going to help you grow up

into an amazing little girl.

BABY GURGLES

OK.

You look after yourself, all right?

Make sure you come back and say hi.

-BABY CRIES

-OK.

Everything OK?

Oh, wait.

Let's keep her warm.

OK.

MO SIGHS

Mo, take a minute.

I need to go to theatre.

I can't even get five minutes of peace in this place!

-You can't smoke in here.

-What are you going to do, bar me?

-You need to be back on the ward.

-Do I?

Please put it out.

Just give it to me!

LOFTY SIGHS

Argh!

-Argh!

-Lenny!

Lenny?! Sacha?! Hello?!

Let's get him to theatre. Can we have some help here, please?

-Thrice daily would be about right, I think.

-OK.

Now, I can feel your tension, Mr Thompson. Is everything all right?

-Yes.

-Very good.

I, um... I just want to say that Mo's very happy about her new role.

She's an excellent choice.

-I'm biased, obviously.

-Obviously.

Is that everything?

-No. I don't want to talk out of turn...

-No.

..and, obviously, it's nothing to do with me who you employ in CT...

Look, just spit it out, would you, Mr Thompson?

I'm...I'm really worried.

It's not the easiest of times for us.

At the moment, Hector is very demanding, and Mo...

I'm concerned about her workload.

Maybe when things have settled down a bit, we'd be better placed to...

I believe she's more than capable of managing her workload.

And, normally, I'd absolutely agree with you.

She knows what she's doing, she's...she's brilliant.

And, um...she's more than capable, but, um...

I'm not sure that this is a completely normal situation.

The CT only showed up a ruptured aneurysm.

-What's happened?

-The admission notes mentioned...

Trauma laparotomy. A car accident about a year ago.

The damage is pretty severe.

If he carries on bleeding like this, we won't have hours.

Cross clamp, please. Thank you.

-That's it.

-Suprarenal clamp on.

-Good.

-Bleeding stopped.

-Right, OK. We work as hard as we can for half an hour,

we'll take the clamp off,

let the blood flow to the vital organs for a while,

-then we put the clamp back on.

-He might have bled out by then.

Well, let's hope he doesn't. Scalpel.

Can we set the clock for 30 minutes, please?

OK, let's exclude the left atrial appendage.

She must have really worked her heart over.

-What was she doing?

-Exercising.

-Mm-hm!

-Something funny?

When she said exercising, it was something a little more intense.

-Like CrossFit?

-Think more bedroom-based.

She told you that?

She's French. They love talking about that stuff.

-It's true.

-Well, fair play, Mrs Yeats. Hmm!

-OK, almost there.

-Bleeding.

Right, hold on. Yeah, there's a tear underneath.

Stapler, please.

No, it's not going. I knew this was the wrong decision.

-It's not the wrong decision.

-Still bleeding.

She'll bleed to death, all because you had to have your way

and do this stupid maze!

Mo, the surgery is working. You know what you're doing. You can fix this.

I don't think I can.

BP's dropping. Heart rate's slowing.

MACHINE BEEPS

-Mo!

-Atrial clip in, please.

How are you feeling?

I don't know. Weird.

Weird sick?

Weird...I don't know.

I think this is the first time in a long time

that I'm awake and not working.

How is that?

It's actually amazing.

Hmm! Maybe it's good to be inefficient sometimes.

I guess it is.

You don't need them, you know. Your friends?

-I, um...sort of overheard you before.

-Yeah.

All my friends disappeared once my company got going.

I don't really miss them.

Is that why you're not going to your reunion?

And I don't have a tie, remember?

Aren't you lonely?

If you're doing something you believe in,

you don't have time to be lonely. You know that.

MACHINE BEEPS

-Two minutes left!

-Six more units, please.

-OK, ready?

-Ready.

-Clamp off.

OK. More packs. Quickly!

All right, get platelets, FFP, and let's run a TEG.

Keep going! Keep going!

-Pressure OK?

-Keeping up?

-He's losing it too fast!

We can't do this for another ten minutes -

we need to get that clamp back on.

We have to give this a chance, all right? Whatever we can do.

Clamping the pulmonary vein.

-Brava!

-Cheers!

I'm sorry.

Do you want me to finish up?

-Really?

-I'd be happy to.

Thank you.

Thanks, everyone.

You're cleaning the flat this weekend.

-It's your turn.

-I don't care.

OK. That's weird.

Dr Burrows, how are your ophthalmoscopy skills?

-Why?

-Mrs Khan, she has a headache and is seeing flashes.

And that is my job, why?

Because I am extremely angry with you for leaving,

so I am punishing you

by making you do this unpleasant menial task.

-Right.

-Even though it's an excellent opportunity for you,

it is, perhaps selfishly, a little hurtful for me,

and so I am just making you do things that I find

and deign to be beneath me.

-How's that?

-It's a bit much.

Jas, Mr Stone's enema's failed, I need you to do a manual evacuation.

Let me guess, you're angry at me for leaving.

-What?

-Thanks, guys.

No, no, no, no! Actually, we're so angry with you,

we can't actually speak to you right now, so get off! Get off!

Seriously. Enema.

Ohhhhh!

OK, clamping.

OK, bleeding's stopped. Can you see?

It's better. Scalpel, please.

OK, can you suction here, so you can clear the way to this aneurysm?

There's no way I'll get this done in half an hour.

Do you think we'll have to go clamp off?

-Yeah, I think so.

-You can't do that!

-Like I said...

-You're not listening!

You have to get it done this time! You have to!

-I am doing everything I can...

-I know...

..and I do NOT need to hear from you again!

Understand?

Dom, can you suction, please?

So it'll be a two-week recovery, if things go well,

so just take it really slowly.

Put the campaign on hold, if you can.

Thank you. I know it wasn't your first choice.

It's not really about my choice -

I'm just here to advise on the risks.

But you clearly didn't approve.

Hmm.

I apologise for the way I spoke to you.

I thought it was magnificent to see someone with a bit of heart.

I don't usually advise my patients so passionately.

If...if you were me, would you have given up the campaign?

I would have chosen the safer surgery.

For something that important, it's worth taking the risk sometimes.

Even if the risk's to your health?

Even then.

Here we are, our next MP.

Let's not get ahead of ourselves.

-Well, you've got my vote.

-Thank you.

Dr March, would you mind taking over for me?

-Sure.

-Thank you.

-Ben? How is he?!

-He's OK. He's going to be OK.

And how are you?

Fine. Why shouldn't I be?

I know it seems dramatic to you,

but I actually deal with this sort of thing every day.

On people you know?

Sometimes.

On people who mean a lot to you?

-I've got work to do.

-I know!

I KNOW, Ben...

why you couldn't go through with it.

You know, we've hardly spoken since, me and Lenny,

because something changed, and that something was you.

It was that gig, wasn't it?

It was that gig. That night, something happened.

Nothing happened. Nothing ever happened.

Yeah, but...something did.

Because after that, everything has been off balance. Everything!

And then after the accident, when he was in surgery,

we was all worried, but you... You...

You loved him.

Didn't you?

I...I-I-I don't know.

You had feelings for him!

-Nothing happened.

-I don't think it needed to.

I sold the engagement ring.

I blew all the money.

Nice holiday.

Vintage jacket.

So, every cloud, and all that.

I'd better let you get back.

None of this means I didn't love you, Alice.

-Hmm!

-I really did.

Just...not enough.

I don't want the job.

I can't do it,

and I don't want it.

-Well, this is rather a shift from this morning, isn't it?

-It is.

You know you're the most qualified person in the hospital to do it?

Yes, and I still don't want it.

Do you perhaps want to take the night to think it over?

I don't need it.

I'm sorry to string you along, but...I'm out.

Very well.

Thank you for your candour.

You're a wonderful surgeon, Ms Effanga.

Clearly, things don't always go to plan in this business,

but one thing I know for sure is you always give your whole heart

to every decision you make,

and when you do that, you can't really make a mistake.

That's why I wanted you for clinical lead,

and that's why, in the end, I'll get you.

Thank you, Mr Hanssen.

They warned me about you. They said, he gets too attached to patients,

and I thought, I'm not going to listen to what other people say,

I'm going to make up my own mind.

-And then the first time a friend comes in...

-He's not a friend.

-OK, ex's brother, whatever.

-I loved him.

I loved him.

I couldn't marry Alice because I was in love with her brother.

I've never actually said that out loud.

So what?

Your personal life is absolutely none of my business.

But what concerns me is that you let this relationship...

We didn't have a relationship...

You let this relationship cloud your judgment.

And you have form in this area!

It's not like that, Mr Levy, I promise you.

Why?

I met Alice just after I finished working here.

We got engaged too fast, but she made me feel good.

And...I hadn't felt good in a long time.

And then I met her brother, and, well, we didn't even get on.

Always at each other.

Until the accident.

When Alice called to say that he was in ICU, that's...

..that's when I knew that I loved him.

Do you still love him?

I think I still love them both.

I pinched it from Mr Valentine's locker.

It probably cost him, like, 150 quid, but who cares?

-I'm not going.

-I know...

Jas, if you want me to cook you dinner, we need to leave now.

But in case you decide that having friends isn't so bad after all...

THEY GIGGLE

Well, your sats and breathing rates are looking good.

Has Ms Effanga talked you through your recovery?

Take it easy for two weeks.

And that means no exercising.

I've gone that long before. Once, maybe.

Well, you're an inspiration, Mrs Yeats.

I can tell you, we'd all like to know what kind of man

is capable of bringing a woman to a serious cardiac episode.

How's my favourite patient?

I'm being very well looked after.

Huh!

Something funny?

N-No, not at all, Mr Griffin.

So...how's she looking?

Of course I don't want you to go, I love you!

-I love you, too!

-And I will miss you so much!

But what sort of a rubbish friend would I be

if I stopped you from such an incredible opportunity?

-I would never forgive you.

-Exactly.

I swear I had some gum in here somewhere.

I probably wouldn't be able to tell you,

I'd just, like, undermine our friendship

in loads of really petty, bitter ways,

probably without even realising,

until it was completely and utterly in tatters,

and then we wouldn't be able to look at each other.

-I'm really glad you've thought this through(!)

-Huh!

-Um...what's this doing in my bag?

-There it is!

But what is it doing in my bag?

Oh, I probably put it in there when I was drunk.

Yes! I thought I was being really organised for the morning.

You are an idiot.

Mmm, but I'm your idiot.

Aw! Now I can compile an inventory

of everyone I drunk-dialled and can start apologising.

Dr Burrows.

I received a very strange voicemail this morning.

-Mr Rossini, I am...

-It was very long.

Yeah, as I said, I...

Well, after a lot of talking and some crying,

you said that because Mr Farquarson, who I've never heard of,

had been to Suriname recently

and you had noticed a splenomegaly on his echo,

maybe he had malaria and we should run a blood film.

-And...?

-We ran a blood film.

He has malaria.

Huh!

Maybe next time you have an idea...

Yeah, no drunk messages.

Mmm. Probably best.

-THEY LAUGH

-Get out!

MACHINE BEEPS

LENNY COUGHS

It's going to hurt a bit.

LENNY BREATHES DEEPLY

What happened?

Your aneurysm ruptured.

Luckily, we got you into surgery straightaway. If we hadn't...

LENNY SIGHS

Alice knew all along.

I guessed as much.

-Since the wedding, we haven't really...

-Yeah, she said.

I'm sorry about what happened before.

You was right what you said, though.

It wasn't all one-way.

We could make this work, you know.

DOOR OPENS

Can I come in?

Of course. You're family.

-How are you feeling?

-I'm OK.

Was you in the middle of something medical?

No, we're all done. I'll leave you to it.

There was one question Ben had to answer for me.

About my recovery?

I think it's going to have to be a no.

OK.

Probably best...

for your recovery.

Yeah.

No doubt.

He's going to need a lot of support when he's out. Can he stay with you?

Yeah.

That would be nice.

-No!

-And then I had to listen to him say how important it was

to get her bouncing back again.

-MO LAUGHS

-He didn't say that?

ZOSIA LAUGHS He did!

Oh, that is the greatest thing I've heard all day!

-Happy?

-What?

I've done your decortications better than you ever could,

and you've made your point, you're the boss.

We must all bow to Ms Effanga.

But when I get my job back, and I will get it back,

I'm going to put you on surgeries so elementary, so mundane,

you're going to be begging me for decortications.

I don't care.

-I beg your pardon?

-Speak to Matteo.

I'm not the boss any more.

Don't say a word, or I will actually kill you.

Noted.

I may have been a little bit snippy this morning.

-A bit?

-All right, a lot.

Ah, don't worry about it. You fancy a proper drink?

Did someone say a proper drink?

Just the one.

DOM CHUCKLES

-Hey.

-Hi.

-I'm off.

-Listen, what do you say to a dinner date?

-Really?

Yeah. You, me, a table.

-Might even rustle up a candle.

-Oh-ho-ho! Blimey!

-I know, right?

-Yeah!

Well, shall we grab a takeaway or something?

-Yeah.

-Brilliant!

I quit, by the way.

-What?

-Yeah. I told Hanssen I don't want it.

Are you OK?

I'm relieved, to be honest.

One day at that job and it was crushing me.

I just can't deal with it at the moment.

And, you know me, it kills me to say that, but I can't.

I just can't.

I need time.

I need to breathe and...

I need to know that you support me. Can you do that?

Oh, yeah. Of course!

-Aw!

-MO CHUCKLES

So, Thai or Chinese?

I mean, two. I could have two. That's within my daily allowance.

This isn't like having one of your five a day.

It's grapes. Grapes count!

THEY LAUGH

Sacha! Are you going to come for a pint?

Well, I'm supposed to be playing tennis.

DOM AND ESSIE LAUGH

Yeah, you're right. Come on, come on!